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Circulating levels of persistent organic pollutants (POPs) are associated with left ventricular systolic and diastolic dysfunction in the elderly
Östergötlands Läns Landsting, Center for Disaster Medicine and Traumatology.
Uppsala University, Sweden .
Örebro University, Sweden .
Örebro University, Sweden .
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2013 (English)In: Environmental Research, ISSN 0013-9351, E-ISSN 1096-0953, Vol. 123, 39-45 p.Article in journal (Refereed) Published
Abstract [en]


Major risk factors for congestive heart failure (CHF) are myocardial infarction, hypertension, diabetes, atrial fibrillation, smoking, left ventricular hypertrophy (LVH) and obesity. However, since these risk factors only explain part of the risk of CHF, we investigated whether persistent organic pollutants (POPs) might also play a role.


In the Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS) study, left ventricular ejection fraction, (EF), E/A-ratio and isovolumic relaxation time (IVRT), were determined by echocardiography and serum samples of 21 POPs were analyzed in serum measured by high-resolution chromatography coupled to high-resolution mass spectrometry (HRGC/HRMS) in 998 subjects all aged 70 years.


In this cross-sectional analysis, high levels of several of the polychlorinated biphenyls (PCB congeners 99, 118, 105, 138, 153, and 180) and octachlorodibenzo-p-dioxin (OCDD) were significantly related to a decreased EF. Some POPs were also related to a decreased E/A-ratio (PCBs 206 and 209). All the results were adjusted for gender, hypertension, diabetes, smoking, LVH and BMI, and subjects with myocardial infarction or atrial fibrillation were excluded from the analysis.


Circulating levels of POPs were related to impairments in both left ventricular systolic and diastolic function independently of major congestive heart failure risk factors, suggesting a possible role of POPs in heart failure.

Place, publisher, year, edition, pages
Elsevier, 2013. Vol. 123, 39-45 p.
Keyword [en]
Systolic dysfunction, Diastolic dysfunction, Heart failure, Persistent organic pollutants, Environmental contaminants, PCBs
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-93966DOI: 10.1016/j.envres.2013.02.007ISI: 000318829800006OAI: diva2:649026

Funding Agencies|Swedish Council for the Environment, Agricultural Sciences, and Spatial Planning (FORMAS)||Swedish Research Council (VR)||

Available from: 2013-09-17 Created: 2013-06-13 Last updated: 2014-09-11Bibliographically approved

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